Individual
ALBERT MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4765 W NEBRAKSA, TUCSON, AZ 85757
(520) 908-1319
Mailing address
PO BOX 86445, TUCSON, AZ 85754-6445
(520) 908-1319
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
585381
AZ
Other
Enumeration date
07/10/2008
Last updated
07/10/2008
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